Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Song

Individual provider General Practice Dentistry · NPI 1154173938

Kevin Song is a General Practice Dentistry in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

1795 Main St Ste 116
Springfield, MA 01103-1078
Phone: (419) 439-0563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN10000733 (MA)

Record details

NPI number1154173938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address47 Oak St Unit B, Windsor Locks, CT 06096-1822

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